Visual outcomes and timing of surgery on traumatic cataract cases

Abstract

The aim of this study was to identify the visual prognosis postoperatively and to evaluate the factors those affect the visual acuity among cases of traumatic cataracts. The data from cases who underwent surgical intervention due to traumatic cataract between December 2007 and December 2010 were collected retrospectively from the hospital records. Age, gender, the type of damage, the time of surgery, the method for the surgery, intraocular lens type and localization, follow up period and the best corrected visual acuity were recorded for each case. The clinical characteristics of the cases were evaluated in the aspects of these parameters. Sixteen eyes of 16 cases within an age range between 4 and 77 years were included to the study. Two cases had intact corneal perforation (no leakage), 11 cases had only corneal perforation and 3 cases had cornea-scleral perforation. The mean interval between the primary repair and the cataract surgery were 21.9 (1-120) days. No lenses implanted to two cases, and sulcus or in the bag lenses were implanted to the others. Mean follow up period was 6.5 (1-17) months and mean best corrected visual acuity was 0,49 Snellen chart lines at the last examination. There is no ideal technique and time for traumatic cataract surgery. The most suitable time and strategy for the surgery should be determined on the individual base. However, satisfactory visual results were reached in most of our cases. © 2012 OMU.